Chin Augmentation: An Important Adjunctive Procedure to Rhinoplasty

Stambaugh, Kweon I.

doi:10.1001/archotol.1992.01880070012002

Cited by 22 publications

(8 citation statements)

References 15 publications

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“…The average advancement of the chin was 3 mm: among patients, females achieved a greater augmentation likely due to the higher rate of microgenia. A vertical augmentation (Gn) was performed in a small part of the sample, more frequently in females and in elderly patients …”

Section: Resultsmentioning

confidence: 99%

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Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment

Bertossi

Lanaro

Dell'Acqua

et al. 2018

J of Cosmetic Dermatology

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Summary Introduction We propose a medical filler treatment algorithm of the profile which includes forehead, nose, and chin and to evaluate profilometric results and complications. Materials and Methods 83 case reviews of associated liquid forehead, nose, and chin plasty performed consecutively from 2014 to 2016. We monitored the horizontal and vertical sagittal stability into two age group: <40 y.o. and >40 y.o. using profilometric Arnett analysis measurements on the F, Gb, Na, Nd, Nt, Sn, ULA, LLA, B, Pg, and Gn soft‐tissue points. Results The results at both 3 and 6 months were consistent with the normal ranges indicated by Arnett, with a 0.8 mm maximum of defect/excess. Forehead treatment was performed in 51 (61.4%) patient. Patients >40 y.o. always needed a global correction of the forehead profile. We performed nasal treatment in 83 (100%) patient, acute nasolabial angles was the more frequent nasal defect. The lips were injected in 59 patients (71.1) more frequently >40 y.o. In 83 (100%) patients we perform a chin augmentation. The average advancement of the chin was 3 mm. Conclusions The correction of the projection of the forehead, of the profile and shape of the nose, of the lips and chin as well as an overall improvement in face aesthetics and harmony gives a good solution in patients avoiding the need for a surgical intervention, scars and cost of general anesthesia, thus providing the optimum in patient satisfaction.

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Section: Resultsmentioning

confidence: 99%

“…A vertical augmentation (Gn) was performed in a small part of the sample, more frequently in females and in elderly patients. [20][21][22][23] The submental DA treatment was performed in 42.2% of pa-…”

Section: Re Sultsmentioning

confidence: 99%

Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment

Bertossi

Lanaro

Dell'Acqua

et al. 2018

J of Cosmetic Dermatology

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“…After fixation, we carefully reattach the mentalis muscle at the proper site for reasons discussed earlier. 29 All of our patients were treated with an open rhinoplasty. None showed major complications, such as hematoma, severe residual asymmetries, or functional impairments.…”

Section: Commentmentioning

confidence: 99%

Combined Rhinoplasty and Genioplasty

Bertossi

Aglietta

Turra

et al. 2013

JAMA Facial Plast Surg

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Importance: Long-term follow-up reference for experienced clinicians dedicated to profileplasty.Objective: To evaluate the long-term results and complications of combined rhinoplasty and genioplasty.Design: Retrospective study including objective and subjective evaluation before and after 3 years of undergoing simultaneous open rhinoplasty and genioplasty among a cohort of 90 patients.Setting: Academic medical center. Patients: A total of 90 cases of combined rhinoplasty and genioplasty performed from January 2002 through January 2004 were reviewed to evaluate the stability of the esthetic result. Main Outcome Measure: Long-term stability of the esthetic outcome of the simultaneous open rhinoplasty and genioplasty.Results: Soft-tissue Pogonion projection to the true vertical line and mandibular height (mandibular incisor tip to menton) were recorded. As far as reduction genioplasty patients are concerned, 45.6% of the patient population had a 100% stability after 3 years (Ͻ0.25 mm re-sorption measured at the menton). On the other hand, if augmentation genioplasty patients are considered, 52.4% (22 patients with a vertical augmentation range from 4-6 mm; mean, 5.3 mm; and 25 patients with a sagittal augmentation from 6-8 mm; mean, 7.2 mm) had 100% stability after 3 years. The chin was stable with no more than 1 mm of recurrence. Conclusions and Relevance:The results of the study indicate that the combined approach in correcting the facial profile is an effective procedure to achieve a more harmonic and consistent clinical outcome. The recurrence rate of less than 1 mm on the chin bone measurements is relevant to support this statement. An aesthetically proportionate face is strongly determined by the nasal-cervical relationship when observing the patient's profile. Even after a successful rhinoplasty, the patient's face can lack aesthetic attractiveness. Combined rhinoplasty-genioplasty is usually the best solution, particularly for patients with microgenia. It provides optimum patient satisfaction with a low incidence of recurrence.

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“…In addition, it can influence, to a great extent, the apparent length of the face and the nose. [1–3] Osseous genioplasty[4–6] (or mentoplasty ), i.e., surgical correction of chin abnormalities by skeletal modification, has the potential of causing refreshing changes in facial harmony with minimal effort. The following is a review of the results of osseous genioplasty performed either in isolation, or as a part of major orthognathic procedure, by a single surgeon, in Indian patients.…”

Section: Introductionmentioning

confidence: 99%

Osseous genioplasty: A case series

Deshpande¹,

Munoli²

2011

Indian J Plast Surg

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Introduction:The chin (mentum) is vital to the human facial morphology as it contributes to the facial aesthetics and harmony both on frontal and lateral views. Osseous genioplasty, the alteration of the chin through skeletal modification, can lead to significant enhancement of the overall facial profile.Aim and Study Design:A case series was designed to study the long-term results of osseous genioplasty in Indian patients with regard to patient satisfaction, complications, and long-term stability.Materials and Methods:All subjects who underwent osseous genioplasty either alone or as a component of orthognathic surgery between January 1992 and December 2010, with a minimum follow-up of 2 years, were included. The genioplasty was performed using standard protocols of assessment and execution. Post-operative evaluation included patient satisfaction, complications and radiological evidence of long-term stability. A comprehensive score was formulated for the purpose of the study.Results:Thirty-seven subjects underwent osseous genioplasty with at least 2 years of follow-up in the study period. This included 17 male and 20 female subjects, with a mean age of 22.8 years (15-52 years) and a mean follow-up of 3 years 4 months (2 years to 4 years and 11 months). Nineteen subjects underwent isolated genioplasty while 18 underwent genioplasty as a part of orthognathic surgery. The procedures included advancement (22), pushback (9), side-to-side (4) and vertical reduction (2) genioplasty. Thirty-six subjects (97.3%) were extremely pleased with the results with only one subject expressing reservations, without, however, demanding any further procedure. There were no significant complications. The osteotomised segment was well maintained in its new position with good bony union and minimal resorption. Overall, 35 (94.6%) cases had excellent results and 2 (4.4%) cases had good results, according to the comprehensive score.Conclusions:Osseous genioplasty is a safe and effective means of creating a beautiful and balanced facial profile by producing alterations in the chin morphology with minimal complications and excellent and stable long-term results.

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Chin Augmentation: An Important Adjunctive Procedure to Rhinoplasty

Cited by 22 publications

References 15 publications

Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment

Injectable profiloplasty: Forehead, nose, lips, and chin filler treatment

Combined Rhinoplasty and Genioplasty

Osseous genioplasty: A case series

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